Susan K Pommerville, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT122862 Issued in CA

Practice address

470 E 3Rd St Ste C
Los Angeles, CA 90013-1630

Phone

(213) 620-5712

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Real Road IncGroup PAC ID 1052858396, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Solutions Family Therapy Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, CA
  • NPI 1134688674
  Medicare reassignment Care Compare group NPD
• All for Kids Organization

  • Community/Behavioral Health Agency
  • Palmdale, CA
  • NPI 1609902436
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1689056798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W LANCASTER BLVD STE 115",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342303",
            "telephone_number": "661-903-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E 3RD ST STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131630",
            "telephone_number": "213-620-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1529 E Palmdale Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935502029",
            "country_code": "US",
            "telephone_number": "661-272-9996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44447 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343324",
            "country_code": "US",
            "telephone_number": "661-726-2630 x4133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1529 E Palmdale Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935502029",
            "country_code": "US",
            "telephone_number": "661-272-9996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 W Lancaster Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342303",
            "country_code": "US",
            "telephone_number": "661-903-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMMERVILLE",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT122862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Pomerantz, LCSW
• Elysha Pomerantz, DMD
• Jill Shorr Pomerantz, MSW
• Myra Pomerantz, PH.D.
• Paul Patrick Pommells I, CADPT
• Alessandra Pompa
• Patrick Nicholas Pompl, MD, MS
• Marlen Pomposo
• Amy Beth Pomrantz, DPT, ATC
• Asia Nicole Pon, AU.D.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.